Ticagrelor Induced Angioedema Following Carotid Artery Stenting

 

When your doctor suggests this(CAS)have them guarantee no complications.

Problems to consider:

You might want to ask your doctor about this?

New ischemic brain lesions on diffusion-weighted MRI after treatment were found in 51% of cases after stenting.  Link here

 

1.  Talk to your doctor about why you would want to put inflexible metal stents in flexible arteries.

2. You might want to prevent stent placement complications per European Society of Cardiology

A - Minor complications

• Carotid artery spasm

• Sustained hypotension / bradycardia

• Carotid artery dissection

• Contrast encephalopathy (very rare)

• Minor embolic neurological events (TIAs)

B - Major complications

• Major embolic stroke

• Intracranial hemorrhage

• Hyperperfusion syndrome

• Carotid perforation (very rare)

• Acute stent thrombosis (very rare)

• Complications at the site of the vascular access

Ticagrelor Induced Angioedema Following Carotid Artery Stenting

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Ahmed Elmashad, MD, Danison Emmerson, MD, Allison Gorseth, PharmD, BCPS, ...

First Published April 23, 2022 Case Report 

https://doi.org/10.1177/19418744221097353

Article information

Abstract

Ticagrelor is a frequent component of dual antiplatelet therapy (DAPT) following carotid artery stent placement. Hemorrhagic complications remain the focus of most reports, however, other adverse events must also be known to the prescribing physician. Angioedema is a rare and potentially life-threatening complication reported following ticagrelor administration and we present 1 such case here with a review of the existing literature.

Keywords

ticagrelor, angioedema, stroke, carotid stenting

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